NPI age
1 years
Enumerated 2025-03-04
● Active Type 2 · Organization
Subpart
Children And Teen Dental Group
Children And Teen Dental Group is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Caride
Credentialing Mgr
Last NPPES update
2025-05-06
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
1 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 13% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-03Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
679 Baldwin Rd
Cornelia, GA 305315768
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 300093954
Authorized official
Nicole Caride
Credentialing Mgr
📞 7277842721
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Rashmika Reddy Nallabolu Dentist NPI 1093409823
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
-
DentistAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
-
DentistThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Elite Dentistry of Georgia
-
Elite Dentistry of Georgia
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Children And Teen Dental Group.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.